Susan Lynne Blaine in Davis - Marriage & Family Therapist
Susan Lynne Blaine - NPI 1174542666
Susan Lynne Blaine is a Marriage & Family Therapist in Davis, California. Susan Lynne Blaine practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Susan Lynne Blaine is 1174542666. The last update date is 2007-07-08.
Susan Lynne Blaine's current location address is 1260 Lake Blvd, Davis, California. You can contact this provider via phone number 5302971601 and fax number 5302976864. The mailing address for Susan Lynne Blaine is 1260 Lake Blvd, Davis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lynne Blaine |
|---|---|
| Address | 1260 Lake Blvd, Davis, California |
| Phone Number | 5302971601 |
| Fax Number | 5302976864 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1174542666 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1260 Lake Blvd |
|---|---|
| City | Davis |
| State | California (CA) |
| Post Code | 956162614 |
| Phone Number | 5302971601 |
| Fax Number | 5302976864 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC33852 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MFC33852 | CA | BBS LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Lynne Blaine?
The Susan Lynne Blaine has been issued the NPI (National Provider Identifier) 1174542666 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan Lynne Blaine?
The Susan Lynne Blaine is physically situated at 1260 Lake Blvd, in the city of Davis, state of CA, with the postal code 956162614.
What is Susan Lynne Blaine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Lynne Blaine's specialized field of practice is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 106H00000X.
On what date did Susan Lynne Blaine receive its 1174542666 assignment from the Centers for Medicare & Medicaid Services?
The Susan Lynne Blaine was assigned its 1174542666 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Susan Lynne Blaine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Lynne Blaine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.